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i <br /> H'EALfI-I SEhb !4_L- _ <br /> %,,o�,Ar4 j 0AQ0I N C1 IUN l Y <br /> 445 N . San joaquii -'t , P .01 . <br /> l C 209) <br /> I � <br /> NIt'LRri L.CI <br /> NISFuCY.L <br /> Site lnformat.ion <br /> COS/DEPT PUB . WORK5/-j .f=UY:UM0I`0 COS"'MUNI U17D 1TIES S ENSi!N <br /> i <br /> <br /> S TOCKTON, CA <br /> I' <br /> ! <br /> I � <br /> '_;ei` /Ic[es were pruvided for You by the Eanvironmerit.1 Health Division nr) <br /> II <br /> .ranuar- 12 : 1993 for UGST REMOVAL 10,re_; 1217/921i12i33 � <br /> Invoice Date; JANUARY 1b, 1'993 Iii)AL DUE , $1%- . UCi � <br /> I <br /> lox, Penalty will be added each � <br /> _:0 days Past. Invoice date . <br /> PLEAaE REPORT CHANGE`; IN THE RE.1URN PAYMEN] ALONG WITH rlruE COPY OF � <br /> :DPACE PROVIDED BELOW WITHIN tHl'=; S"FATENEN TO : <br /> IS DAY._ Oil THE DATE OF THIS � <br /> ' , - F i ' S Pub'l is I"ealtrt, St'i'i/IEeS, '�:an 1Ga`=1Uill <br /> (' INvoICE . IF PdOl i1 :C:i } II;aPJ I: <br /> NOT RECEIVED WITHIN THAT TIME Count.Y!Envi'rc-n ce ntal Health <br /> PERIOD, THE PARTY IDEN-i"IEIED 2009, '_tockto i , Ca. Qri-,401 <br /> ABOVE WILL BE LEGALLY RE'_;PON- <br /> SIE,LE FC1R THI.'- BILL , <br /> IP THE ABOVE BILLING ADDRESS 1'c'. NOT CORRECT, PLEAc;E INDICATE BELCIili , <br /> � y � <br /> CITY ATE ZIP <br /> PAYMENT <br /> RECEIVED ! <br /> JAN 2 81993 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />